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NPI Code Detail

MEDICARE: LYNN MARIE GAWNE RPH

MEDICARE:   LYNN MARIE GAWNE  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP031756LPA

General Provider Information

NPI Number : 1598762817
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN MARIE GAWNE RPH
Provider Business Mailing Address
First Line : 3805 BELLADONNA DR
Second Line :
City : GLENSHAW
State : PA
Zip : 15116-1241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2134 E CARSON ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1904
Country : US
Telephone Number : 412-431-9302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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Directions to “ LYNN MARIE GAWNE RPH” Practice Location

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